Functional Deficits After Intraneural Injection During Interscalene Block

被引:77
作者
Cohen, Joshua M. [1 ]
Gray, Andrew T. [1 ]
机构
[1] Univ Calif San Francisco, San Francisco Gen Hosp, Dept Anesthesia & Perioperat Care, San Francisco, CA 94110 USA
关键词
NERVE;
D O I
10.1097/AAP.0b013e3181e8a35f
中图分类号
R614 [麻醉学];
学科分类号
100217 [麻醉学];
摘要
Objective: We present an occurrence of a severe but transient neurologic complication after intraneural injection during an ultrasound-guided interscalene block. Case Report: A 36-year-old man underwent ultrasound-guided interscalene nerve blockade before shoulder incision and drainage. On postoperative day I, he exhibited new-onset arm weakness with dysesthesias. Intraneural injection was recognized based on a retrospective review of the recorded ultrasound imaging. The symptoms persisted for more than 2 weeks and completely resolved by 6 weeks. Conclusions: Our report suggests that intraneural injection during ultrasound-guided interscalene block carries a risk of neurologic complications.
引用
收藏
页码:397 / 399
页数:3
相关论文
共 16 条
[1]
Regional anesthesia in anesthetized or heavily sedated patients [J].
Bernards, Christopher M. ;
Hadzic, Admir ;
Suresh, Santhanam ;
Neal, Joseph M. .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2008, 33 (05) :449-460
[2]
Nerve puncture and apparent intraneural injection during ultrasound-guided axillary block does not invariably result in neurologic injury [J].
Bigeleisen, Paul E. .
ANESTHESIOLOGY, 2006, 105 (04) :779-783
[3]
Buprenorphine added to the local anesthetic for axillary brachial plexus block prolongs postoperative analgesia [J].
Candido, KD ;
Winnie, AP ;
Ghaleb, AH ;
Fattouh, MW ;
Franco, CD .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2002, 27 (02) :162-167
[4]
Injection pressures by anesthesiologists during simulated peripheral nerve block [J].
Claudio, R ;
Hadzic, A ;
Shih, H ;
Vloka, JD ;
Castro, J ;
Koscielniak-Nielsen, Z ;
Thys, DM ;
Santos, AC .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2004, 29 (03) :201-205
[5]
CLINICAL AND EXPERIMENTAL ASPECTS OF INJECTION INJURIES OF PERIPHERAL-NERVES [J].
GENTILI, F ;
HUDSON, AR ;
HUNTER, D .
CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES, 1980, 7 (02) :143-151
[6]
Hadzic A, 2004, REGION ANESTH PAIN M, V29, P417, DOI 10.1016/j.rapm.2004.06.002
[7]
Ultrasonographic guidance improves the success rate of interscalene brachial plexus blockade [J].
Kapral, Stephan ;
Greher, Manfred ;
Huber, Gudrun ;
Willschke, Harald ;
Kettner, Stephan ;
Kdolsky, Richard ;
Marhofer, Peter .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2008, 33 (03) :253-258
[8]
IRREVERSIBLE CONDUCTION BLOCK IN ISOLATED NERVE BY HIGH-CONCENTRATIONS OF LOCAL-ANESTHETICS [J].
LAMBERT, LA ;
LAMBERT, DH ;
STRICHARTZ, GR .
ANESTHESIOLOGY, 1994, 80 (05) :1082-1093
[9]
Percutaneous chemical nerve block with ultrasound-guided intraneural injection [J].
Lee, Jongmin ;
Lee, Yang Soo .
EUROPEAN RADIOLOGY, 2008, 18 (07) :1506-1512
[10]
Brachial plexus sonography: A technique for assessing the root level [J].
Martinoli, C ;
Bianchi, S ;
Santacroce, E ;
Pugliese, F ;
Graif, M ;
Derchi, LE .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2002, 179 (03) :699-702